Individual
JORDIN BRIELLE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
521 LANCASTER AVE, RICHMOND, KY 40475-3102
(859) 622-1742
Mailing address
410 JASON DR APT B15, RICHMOND, KY 40475-2282
(513) 601-4112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5552
OH
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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